ANNEX IVSupplementary provisions
ANNEX IV Text of image REQUEST FOR ACCESS TO INFORMATION Access to information concerning certain natural person contained in insolvency registers in [names of the Member States concerned (1)] is conditional upon a request to the competent authority. In [names of the Member States concerned (2)] you also need to have a legitimate interest for accessing such information. (Article 27(4) of Regulation (EU) 2015/848 of the European Parliament and of the Council of 20 May 2015 on insolvency proceedings). The Member States above are only allowed to make access to such information subject to such conditions where it relates to so called ‘consumer debtors’, i.e. debtors who are natural persons not exercising an independent business or professional activity or who are exercising such business or activity, but the insolvency proceedings they are subject to are not related to that activity (Article 27(3) of Regulation (EU) 2015/848). You can request access to such information from the competent authorities of the Member States concerned by filling in the form below. You can fill in this form in or attach documents written in or translated into any official language of the European Union. You can submit your request to the competent authority of any Member State concerned through the European e-Justice Portal, electronically, by clicking on the ‘Send’ button at the bottom of the form. The European e-Justice Portal provides assistance only in the electronic submission of the request. After submission of your request to the competent authority of the Member State concerned, any communication between you and the authorities of that Member State (including the provision of the requested information upon positive assessment of your request) will take place bilaterally, through the contact address you indicated when filling in the form. Please, take note that once you have submitted a request: — you must be provided by the requested authority with an answer within 3 working days; — you cannot be obliged to provide translations of the documents justifying your request, or be asked to bear any costs of translation which the competent authority may incur. (1) The form in the website of the European e-Justice Portal shall actually reflect the list of those Member States who decided to make use of the option in Article 27(4) of Regulation (EU) 2015/848 of granting access to information upon individual requests to their authorities. (2) The form in the website of the European e-Justice Portal shall actually reflect the list of those Member States who decided to make use of the option in Article 27(4) of Regulation (EU) 2015/848 of granting access to information upon the justification of a legitimate interest of the requestor to the requested piece of information. Text of image ANNEX IV 1. MEMBER STATE TO WHICH THE REQUEST IS TO BE SENT 2. REQUESTING PERSON 2.1. Name 2.1.1. Surname: 2.1.2. First name(s): 2.2. Contact details: 2.2.1. Email: or 2.2.2. Fax or 2.2.3. Postal address: 2.2.3.1. Street and number/PO box: 2.2.3.2. Place and postal code: 2.2.3.3. Country: 3. DEBTOR ABOUT WHOM THE INFORMATION IS REQUESTED 3.1. Name: 3.1.1. Surname: 3.1.2. First name(s): 3.2. Additional information which may facilitate the identification of the debtor (you only need to fill in this point if you have any such information at your disposal; however, if you do not provide further information, the person may not be identified): 3.2.1. Personal ID number of the debtor: 3.2.2. Place and date of birth: 3.2.3. Nationality: 4. LEGITIMATE INTEREST JUSTIFYING THE REQUEST FOR ACCESS TO INFORMATION (1) 4.1. Brief description of the facts which justify your legitimate interest for accessing the requested information: 4.2. Number of copies of documents attached to the request: (1) You have to fill in this field only if the Member State addressed, in order to comply with your request, requires the justification of a legitimate interest (these MS are: [names of the Member States concerned]).